Individual provider Active NPI

Atza M Acosta Feliciano, MD

  • Family Medicine Physician
  • Brandon, FL
National Provider Identifier
1194239384
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME133710 Issued in FL
Practice address
1989 W Lumsden Rd
Brandon, FL 33511-8821
Phone
(813) 653-3111
Fax
(813) 653-1384
NPI assigned
Nov 27, 2017
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME133710 FL Primary

Addresses

Primary practice location

1989 W Lumsden Rd
Brandon, FL 33511-8821

Mailing address

1989 W Lumsden Rd
Brandon, FL 33511-8821
Phone (813) 653-3111

Other practice location 1

411 Calle Cerro las Mesas
Cerro Lindo Apt 202
Mayaguez, PR 00680-0068
Phone (772) 985-0749

Other practice location 2

B12 Calle 14
Urb Medina
Isabela, PR 00662-0066
Phone (772) 985-0749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001514 FL Practitioner - Family Practice 5698023760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME133710FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 11, 2018 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 11, 2018 Accepting new patients
Optumcare Florida LLC Family Medicine PastSince Aug 31, 2026 Accepting new patients
Optumcare Florida, LLC PastSince Aug 31, 2026 Accepting new patients

Locations

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

4715 S Florida Ave
Ste 200
Lakeland, FL 33813
Phone (863) 209-7004

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1194239384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118821",
            "telephone_number": "813-653-3111",
            "fax_number": "813-653-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118821",
            "telephone_number": "813-653-3111",
            "fax_number": "813-653-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Calle Cerro las Mesas",
            "address_2": "Cerro Lindo Apt 202",
            "address_purpose": "LOCATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800068",
            "country_code": "US",
            "telephone_number": "772-985-0749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "B12 Calle 14",
            "address_2": "Urb Medina",
            "address_purpose": "LOCATION",
            "city": "Isabela",
            "state": "PR",
            "postal_code": "006620066",
            "country_code": "US",
            "telephone_number": "772-985-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA FELICIANO",
        "first_name": "ATZA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME133710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.